Medical Education, Hamad Medical Corporation, Doha, Qatar.
College of Medicine, QU Health, Qatar University, Doha, Qatar.
Med Educ Online. 2024 Dec 31;29(1):2329404. doi: 10.1080/10872981.2024.2329404. Epub 2024 Mar 15.
The negative impact of medical training on trainee mental health continues to be a concern. Situated within a sociocultural milieu, Generation Z and Generation Y, defined by their highly involved parents and the widespread use of technology, currently dominate undergraduate and graduate medical education respectively. It is necessary to explore medical trainees' generational characteristics and job-related factors related to stress, burnout, depression, and resilience. This might provide different perspectives and potential solutions to medical trainees' mental health.
A cross-sectional study was conducted among medical trainees (students and residents) from two institutions in Qatar. A self-administered online survey included measures for trainees' social media overuse, their parent's parenting style, the educational support by the clinical teacher, job (demands, control, and support), and work-life balance and their relation with their stress, burnout, depression, and resilience. Relationships were tested with multiple linear regression analyses.
Of the 326 medical trainees who responded, 142 (44%) trainees - 93 students and 49 residents - completed all items and were included in the analysis. Social media overuse and inability to maintain a work-life balance were associated with higher levels of stress, depression, and student burnout. Higher levels of job support were associated with lower levels of stress, depression, and resident burnout, and a higher level of resilience. Job control was associated with lower burnout levels. Parenting style was unrelated to trainees' mental health.
The two generations 'Y' and 'Z' dominating current medical training showed more stress-related complaints when there is evidence of social media overuse and failure to maintain a work-life balance, while job support counterbalances this, whereas parenting style showed no effect. Measures to enhance medical trainees' mental health may include education about the wise use of social media, encouraging spending more quality social time, and enhancing job support and job control.
医学培训对学员心理健康的负面影响仍然令人担忧。Z 世代和 Y 世代的学员目前分别主导着本科和研究生医学教育，他们的特点是父母高度参与，以及广泛使用技术。有必要探讨医学学员的代际特征和与压力、倦怠、抑郁和适应力相关的工作相关因素。这可能为医学学员的心理健康提供不同的视角和潜在的解决方案。
在卡塔尔的两所机构中，对医学学员（学生和住院医师）进行了横断面研究。一项自我管理的在线调查包括学员社交媒体过度使用、父母教养方式、临床教师教育支持、工作（需求、控制和支持）以及工作与生活平衡及其与压力、倦怠、抑郁和适应力的关系。采用多元线性回归分析测试关系。
在 326 名回应的医学学员中，有 142 名（44%）学员——93 名学生和 49 名住院医师——完成了所有项目并纳入分析。社交媒体过度使用和无法保持工作与生活平衡与更高水平的压力、抑郁和学生倦怠有关。更高水平的工作支持与更低水平的压力、抑郁和住院医师倦怠以及更高水平的适应力有关。工作控制与更低的倦怠水平有关。教养方式与学员的心理健康无关。
主导当前医学培训的两代人“Y”和“Z”表现出更多与压力相关的抱怨，当有证据表明过度使用社交媒体和无法保持工作与生活平衡时，而工作支持则起到了平衡作用，而教养方式则没有影响。增强医学学员心理健康的措施可能包括关于明智使用社交媒体的教育，鼓励更多高质量的社交时间，并增强工作支持和工作控制。
